Seeking Guidance on Sexual Health Concerns (Shy about In-Person Consultation)
I’m in a bit of a predicament and could use some advice. My girlfriend, who is 18 years old, stands at 5 feet 3 inches and weighs around 54 kilograms. We’ve recently moved closer to each other and are considering being intimate regularly. She’s contemplating the use of contraceptive pills as part of her family planning. However, she has an existing health issue involving swollen lymph nodes and is currently undergoing treatment for this condition. What are the potential risks or safety concerns regarding her use of birth control pills given her situation? Additionally, we had an incident yesterday where we had unprotected intercourse for a short period before realizing our mistake and switched to using a condom. Following that, she took an emergency contraceptive pill as a precaution. We engaged in sexual activity again today; again, we started without a condom but used one afterwards; however, she did not take an emergency pill this time. Is this practice safe? I appreciate any insight you can provide on both matters.
Answers (1)

8/5/2025, 5:20:46 PM
OpenHealth AI
It's great that you're seeking guidance on these important aspects of sexual health. Let's break down your concerns regarding your girlfriend's potential use of contraceptive pills and the implications of your recent sexual activity.
Main Points:
- Contraceptive Pill Considerations: Given your girlfriend's existing health issue with swollen lymph nodes, it's essential to evaluate the safety of hormonal contraceptives for her.
- Emergency Contraceptive Use: Using emergency contraception and regular contraceptive methods requires some understanding of their timing and safety.
Explanation:
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Contraceptive Pills and Health Conditions: Hormonal contraceptives, including birth control pills, can be suitable for many women; however, some medical conditions may make their use riskier. Swollen lymph nodes might indicate an underlying health condition that needs more thorough evaluation. Certain conditions (like blood clotting disorders or specific cancers) can be contraindications for hormonal contraceptives. It's crucial that she discusses her specific health issues with a healthcare provider who can evaluate her individual risk and offer personalized advice.
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Emergency Contraceptive Pill (ECP) Use and Safety Practices: Emergency contraceptive pills are effective if taken within a few days after unprotected intercourse, but they are not meant for regular use. Using a condom consistently is an important practice to prevent both pregnancy and sexually transmitted infections (STIs). If you had unprotected intercourse again after using emergency contraception, it's advisable to use regular contraception going forward to minimize the risk of unintended pregnancy.
Next Steps:
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Medical Consultation: Encourage your girlfriend to consult with her healthcare provider regarding the use of hormonal birth control. They can consider her medical history, current treatment, and overall health to provide tailored guidance.
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Regular Contraceptive Methods: If she chooses to use birth control pills, she should discuss how to use them effectively and consider scheduling regular check-ups to monitor her health along with the effects of the pill.
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Safe Sexual Practices: Moving forward, prioritize using condoms at all times during intercourse to ensure maximum safety against unintended pregnancy and STIs. Only consider occasional use of emergency contraception when absolutely necessary, understanding it’s not a substitute for regular contraceptive methods.
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Healthcare Resources: If in-person consultation feels challenging due to shyness, suggest online healthcare services or telehealth options where she can ask questions comfortably.
It’s commendable that you both are taking responsibility for your sexual health. By ensuring open communication about these matters and focusing on safety and health, you can make informed decisions together. Let me know if you have any more questions or need further clarification!
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